Search › Washington › 363A00000X
Matthew French Wallace, PA-C
NPI 1386091015 · on the registry since 2016
Practice
- Address
- 2415 Ne 134th St Ste 205
Vancouver, WA 98686 - Phone
- (360) 576-5060
- Fax
- (360) 576-1133
- Organisation at this address
- Vancouver Eye Care, P.S.
Dane M. Andersen, Dds, Pllc
Advanced Endoscopy Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 2730 Sw Moody Ave # Cl5pa, Portland, OR
- 2730 Sw Moody Ave # Cl5pa, Portland, OR
- 1100 3rd St, Tillamook, OR
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
363A00000X - Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington